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Article
December 3, 1927

THE INDICATIONS FOR THE OPERATIVE TREATMENT OF FRACTURES

JAMA. 1927;89(23):1917-1920. doi:10.1001/jama.1927.02690230001001
Abstract

The treatment of fractures is the most important subject today in surgery without any exception. It is important for three reasons:

  1. The severity of the injury to the whole individual in a case of fracture.

  2. The need for developing a sane judgment in deciding at the outset on a line of treatment suitable to each case and the treatment to be carried through to the conclusion of the case.

  3. The generally unsatisfactory ideas of treatment prevalent throughout our profession.

We all agree that most cases of nonunion, malunion with symptoms, and all compound fractures require operation. In our daily life, such events as the Great War, industrial awakenings and the appearance of complicated machinery, the workman's compensation acts, and the increased use of the automobile and other motor vehicles, have been tremendous stimuli to the surgery of fractures. The loss to industry alone from poorly treated and maltreated fractures is

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